A resident has a permanent tracheostomy. The person wants to take a shower. Which is correct?

a. People with tracheostomies cannot shower. They have tub or bed baths.
b. A shower guard is used and a hand-held nozzle is used to direct water away from the stoma.
c. The person needs to cover the stoma with plastic or leather.
d. Only the person's lower body is washed.


B

Nursing

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A patient with a myelodysplastic syndrome is being treated on the medical unit. What assessment finding should prompt the nurse to contact the patient's primary care provider?

A) The patient is experiencing a frontal lobe headache. B) The patient has an episode of urinary incontinence. C) The patient has an oral temperature of 37.5ºC (99.5ºF). D) The patient's SpO2 is 91% on room air.

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Which of the following patients is at the greatest risk for developing cancer of the tongue?

A) A 65-year-old man with alcoholism who smokes B) A 45-year-old woman who smokes and has diabetes C) A 32-year-old man who uses smokeless tobacco and has hypertension D) A 57-year-old man with alcoholism and a history of dental caries

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Which of the following suggests that a vendor is reliable?

1. The vendor is willing to provide customized services for the institution at a reasonable negotiable fee. 2. The vendor is knowledgeable about the system and provides additional information without prompting. 3. The vendor provides a contact list of previous customers, but none are willing to be interviewed. 4. The vendor addresses all requirements for the system and quickly provides answers for questions.

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As the couple and their families begin to confront the pain of their loss, many normal manifestations of grief may be present. Which of the following would indicate an emotional response to the loss?

1. Lack of meaning or direction 2. Preoccupation 3. Flat affect 4. Dreams of the deceased

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